HIV and AIDS

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Questions and Answers

HIV primarily targets which type of immune cells, leading to immunodeficiency?

  • CD4+ T cells (correct)
  • Natural killer cells
  • B cells
  • CD8+ T cells

Which of the following is a critical step in the HIV replication cycle within a host cell?

  • Reverse transcription of viral RNA into proviral DNA. (correct)
  • Replication of viral DNA using host cell DNA polymerase.
  • Translation of viral proteins directly from the host cell's ribosomes.
  • Direct integration of viral RNA into the host DNA.

What is the significance of the gp120 protein in the context of HIV infection?

  • It is a structural protein that forms the viral capsid.
  • It is an enzyme that integrates viral DNA into the host cell genome.
  • It is responsible for the reverse transcription of viral RNA.
  • It mediates the attachment of HIV to CD4 receptors and co-receptors on host cells. (correct)

During the acute phase of HIV infection, what immunological event primarily contributes to the initial control of viral load?

<p>The cytotoxic T lymphocyte (CTL) response against infected cells. (A)</p> Signup and view all the answers

A patient with HIV progresses to AIDS when their CD4+ T-cell count falls below what value?

<p>200 cells / mm3 (B)</p> Signup and view all the answers

Why is HIV prone to developing different viral strains within an infected individual?

<p>HIV reverse transcriptase is prone to errors during replication. (C)</p> Signup and view all the answers

What is the primary mechanism of action of antiretroviral therapy (ART) in treating HIV infection?

<p>Slowing down HIV replication and allowing the immune system to recover. (C)</p> Signup and view all the answers

Which of the following HIV diagnostic tests is recommended as the initial screening test due to its ability to detect early infection?

<p>Antibody/antigen combination test (C)</p> Signup and view all the answers

What is the significance of CCR5 in the context of HIV infection, and how do mutations in this gene affect disease progression?

<p>CCR5 is a co-receptor on host cells that HIV uses for entry; heterozygous mutations can slow disease progression. (C)</p> Signup and view all the answers

During HIV infection, the switch from the R5 strain to the X4 strain is associated with what change in cellular tropism and disease progression?

<p>A shift in tropism towards T-cells and an accelerated destruction of CD4+ T cells in lymphoid tissues. (C)</p> Signup and view all the answers

Flashcards

What is HIV?

Virus that targets immune cells, leading to immunodeficiency and increased risk of infections and tumors.

HIV-1 vs. HIV-2

HIV-1 is more common globally and in the US, and more commonly associated with AIDS. HIV-2 is rarer and mainly found in western Africa and southern Asia.

How does HIV attach to cells?

HIV attaches to the CD4 molecule via the gp120 protein, also requiring binding to a co-receptor (CXCR4 or CCR5) to enter the cell.

What are HIV's main cell targets?

Macrophages, T-helper cells, and dendritic cells.

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HIV replication process

HIV injects its RNA into the T-helper cell and uses reverse transcriptase to create proviral DNA, which integrates into the host cell's DNA.

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What is viral tropism?

Binding preference of different viral strains for host cells

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Acute HIV infection

R5 strain (binds to CCR5) infects macrophages, dendritic cells, and T cells, causing a spike in viral load.

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Chronic HIV infection

Viral load decreases, T-cell counts decline slowly, and some patients develop the X4 strain of HIV.

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When does HIV progress to AIDS?

T cells fall below 200 cells / mm3 and AIDS-defining conditions develop

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Common HIV transmission routes

Male-to-male transmission is most common in the US. Over 75% of HIV cases are contracted from sexual intercourse.

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Study Notes

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